Individual
TARA M. SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7424 HOLLY AVE. NE, ALBUQUERQUE, NM 87113
(505) 797-5505
(505) 797-5510
Mailing address
8100 WYOMING BLVD NE STE M4, #261, ALBUQUERQUE, NM 87113-1963
(505) 797-5505
(505) 797-5510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4358
NM
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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